A 79-year-old woman underwent autopsy for an intraperitoneal hemorrhage. This mass was found in her heart.
Thank you to Dr. Austin McCuiston for sharing this case.
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Mitral annular calcification resulting in pseudotumor (Caseous Calcification)
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This is an exuberant and tumor-like lesion that is an expansion of the more common mitral annular calcification. It can be extruded out of its capsule and become expansile. There can be external granulation tissue surrounding calcifications with a central softened (pasty) interior (images 6 and 7).
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